Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $4,073.80	Professional		$1,659.59	$2,041.74	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,090.30	Professional		$1,737.80	$1,949.84	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $3,090.30	Facility		$575.44	$602.56	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $3,630.78	Professional		$1,479.11	$2,137.96	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,691.53	Professional		$1,445.44	$1,862.09	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,230.27	Facility		$302.00	$416.87	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,715.35	Professional		$1,513.56	$2,089.30	$3,715.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,454.71	Professional		$1,513.56	$2,137.96	$2,454.71